| NPI | 1487247870 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 255031) | 
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: CA 95057811) | 
| Enumeration Date | 2021-02-16 | 
| Last Update Date | 2021-10-07 |